Individual provider Active NPI

Jigish G Sheth, DO

  • Obstetrics & Gynecology Physician
  • Roswell, GA
National Provider Identifier
1720002983
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02003263 Issued in IN
Practice address
1015 Mansell Rd
Roswell, GA 30076-1507
Phone
(770) 521-2229
Fax
(770) 521-2231
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036116515 IL
Obstetrics & Gynecology Physician 207V00000X 02003263 IN Primary

Addresses

Primary practice location

1015 Mansell Rd
Roswell, GA 30076-1507

Mailing address

1015 Mansell Rd
Roswell, GA 30076-1507
Phone (770) 521-2229

Other practice location 1

3855 Johns Creek Pkwy
Suwanee, GA 30024-1293
Phone (700) 521-2229

Other practice location 2

960 Holcomb Bridge Rd
Roswell, GA 30076-1963
Phone (678) 722-8930

Other identifiers 1

IdentifierTypeStateIssuer
200885420MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110003524 GA Practitioner - Obstetrics/Gynecology 0345248340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036116515ILMDObstetrics & Gynecology Physician
02003263INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isis Obstetrics & Gynecology, LLC Obstetrics & Gynecology PastSince Sep 30, 2015 Accepting new patients
Women'S Doc of Elgin, S. C. Obstetrics & Gynecology Past Accepting new patients
Ehca Johns Creek, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jigish.sheth.1@19519.direct.athenahealth.com
  • Direct secure messaging: jigish.shet@lifecycleobgyn.gadirect.net
  • Direct secure messaging: jigish.sheth.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1720002983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MANSELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761507",
            "telephone_number": "770-521-2229",
            "fax_number": "770-521-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MANSELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761507",
            "telephone_number": "770-521-2229",
            "fax_number": "770-521-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 Johns Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241293",
            "country_code": "US",
            "telephone_number": "700-521-2229",
            "fax_number": "770-521-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Holcomb Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300761963",
            "country_code": "US",
            "telephone_number": "678-722-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "JIGISH",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036116515",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02003263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200885420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.